Long-term, low-dose trimethoprim-sulfamethoxazole was associated with a decreased number of urinary tract infections in predisposed children. The treatment effect appeared to be consistent but modest across subgroups. (Australian New Zealand Clinical Trials Registry number, ACTRN12608000470392.)
In addition to "normal" parental roles, being a parent of a child with chronic kidney disease demands a high-level health care provider, problem solving, information seeking, and financial and practical skills at a time when the capacity to cope is threatened by physical tiredness, uncertainty, and disruption to peer support within and outside the family structure. Parents of children with chronic kidney disease need multidisciplinary care, which may lead to improved outcomes for their children.
Despite facing profound and pervasive difficulties, parents strived to fulfil their dual parental and health care provider responsibilities. Parents appear to need better support structures to help them cope with the difficulties encountered during all stages of their child's illness.
This paper reports research that explores the relationship between approaches to the 'design' of outdoor play spaces and the play value of these spaces. The paper starts by explaining that there is an assumption that an outdoor space in the Kit, Fence, Carpet (KFC) style provides fewer opportunities for play than spaces designed in a more natural way. To test this hypothesis an evaluation tool is developed that draws upon a range of academic literature. The tool includes three dimensions of Play Value, Physical Characteristics of the site and the Environmental Characteristics of the site. This tool was tested on 10 sites in the East Midlands in England. The results indicate that there is a continuum between KFC and more natural spaces with a mid-category of 'composite' spaces. Play value increases along this continuum between the two styles while characteristics such as the amount and type of fixed play equipment and the use of loose and moving parts also vary between the types.
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